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Intensive Care Medicine

, Volume 44, Issue 6, pp 823–832 | Cite as

The present and future of cardiac arrest care: international experts reach out to caregivers and healthcare authorities

  • Jerry P. NolanEmail author
  • Robert A. Berg
  • Clifton W. Callaway
  • Laurie J. Morrison
  • Vinay Nadkarni
  • Gavin D. Perkins
  • Claudio Sandroni
  • Markus B. Skrifvars
  • Jasmeet Soar
  • Kjetil Sunde
  • Alain Cariou
Review

Abstract

Purpose

The purpose of this review is to describe the epidemiology of out-of-hospital cardiac arrest (OHCA), disparities in organisation and outcome, recent advances in treatment and ongoing controversies. We also outline the standard of care that should be provided by the critical care specialist and propose future directions for cardiac arrest research.

Methods

Narrative review with contributions from international resuscitation experts.

Results

Although it is recognised that survival rates from OHCA are increasing there is considerable scope for improvement and many countries have implemented national strategies in an attempt to achieve this goal. More resources are required to enable high-quality randomised trials in resuscitation.

Conclusions

Increasing international collaboration should facilitate resuscitation research and knowledge translation. The International Liaison Committee on Resuscitation (ILCOR) has adopted a continuous evidence review process, which facilitate the implementation of resuscitation interventions proven to improve patient outcomes.

Keywords

Cardiopulmonary resuscitation Cardiac arrest Post-resuscitation care Prognostication 

Notes

Compliance with ethical standards

Conflicts of interest

JPN: Editor-in-Chief, Resuscitation; funding from the National Institute for Health Research to evaluate interventions in cardiac arrest including airway management (AIRWAYS-2 Study) and adrenaline (PARAMEDIC-2 Study). RAB: None declared. CC: None declared. LJM: None declared. VN: None declared. GDP: Funding from the National Institute for Health Research to evaluate interventions in cardiac arrest including mechanical CPR and adrenaline (PARAMEDIC-2 Study). CS: None declared. MS: Research grant from GE Healthcare, travel reimbursements and lecture fees from COVIDIEN, Astellas Pharma, Axis-Shield and BARD. JS: Editor, Resuscitation. KS: None declared. AC: Speakers fees and travel grants from Bard Medical.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  • Jerry P. Nolan
    • 1
    • 2
    Email author
  • Robert A. Berg
    • 3
    • 4
  • Clifton W. Callaway
    • 5
  • Laurie J. Morrison
    • 6
  • Vinay Nadkarni
    • 7
  • Gavin D. Perkins
    • 8
  • Claudio Sandroni
    • 9
  • Markus B. Skrifvars
    • 10
  • Jasmeet Soar
    • 11
  • Kjetil Sunde
    • 12
  • Alain Cariou
    • 13
    • 14
  1. 1.Bristol Medical SchoolUniversity of BristolBristolUK
  2. 2.Anaesthesia and Intensive Care MedicineRoyal United HospitalBathUK
  3. 3.Pediatric Critical Care Medicine, Russell Raphaely Endowed Chair of Critical Care MedicineThe Children’s Hospital of PhiladelphiaPhiladelphiaUSA
  4. 4.Anesthesiology and Critical Care MedicineThe University of Pennsylvania Perelman School of MedicinePhiladelphiaUSA
  5. 5.Department of Emergency MedicineUniversity of Pittsburgh School of MedicinePittsburghUSA
  6. 6.Rescu, St.Michael’s HospitalTorontoCanada
  7. 7.Department of Anesthesia and Critical Care MedicineThe Children’s Hospital of PhiladelphiaPhiladelphiaUSA
  8. 8.Warwick Medical School and Heart of England NHS Foundation TrustUniversity of WarwickCoventryUK
  9. 9.Istituto Anestesiologia E Rianimazione, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario “Agostino Gemelli”RomeItaly
  10. 10.Division of Intensive Care, Department of Anaesthesiology, Intensive Care and Pain MedicineHelsinki University Hospital and University of HelsinkiHelsinkiFinland
  11. 11.Intensive Care Medicine, Southmead HospitalNorth Bristol NHS TrustBristolUK
  12. 12.Department of Anaesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital and Institute of Clinical MedicineUniversity of OsloOsloNorway
  13. 13.Medical ICU, Cochin Hospital (AP-HP), Paris-Cardiovascular-Research-Centre, INSERM U970 (Sudden Death Expertize Centre)ParisFrance
  14. 14.Université Paris-Descartes-Sorbonne-Paris-CitéParisFrance

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